Jennifer Dannecker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA18373 Issued in FL

Practice address

3861 Oakwater Cir
Orlando, FL 32806-6258

Phone

(407) 481-8861

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Optimum HealthCare HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1205113362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9037 FLORIBUNDA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186924",
            "telephone_number": "407-481-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066258",
            "telephone_number": "407-481-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNECKER",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA18373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy E. Daniels, LCSW
• Richard Renner Danielson, DDS
• Carl Dann IV, DDS
• Matthew Danna
• Penny A Danna, M.D.
• Amy Dannemiller
• Erin Danner, MA CCC-SLP
• Antoinette Danridge
• Shonay Danridge
• Edward Akosah Danso

• Physical Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.